Endogenous endophthalmitis caused by urinary tract infection : A case report
Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc..
RATIONALE: Endogenous endophthalmitis is a vision-threatening intraocular infection caused by hematogenous spread of infectious organisms from distant sites.
PATIENT CONCERNS: A 71-year-old man with a history of fever and dysuria 5 days prior to presentation presented with sudden loss of vision in his left eye. The patient had no history of ocular surgery or trauma, and ocular examination revealed a large amount of exudative plaque covering the pupil. Therefore, fundus examination was not feasible. B-scan ultrasonography revealed a dome-shaped subretinal mass with an exudative retinal detachment.
DIAGNOSIS: Endogenous endophthalmitis was diagnosed on the basis of these findings.
INTERVENTIONS: The patient underwent pars plana vitrectomy and the early postoperative course was favorable.
OUTCOMES: Vitreous cultures grew gram-negative bacilli, identified as Klebsiella pneumonia. Urinalysis revealed white blood cells (++) and urinary tract infection was the only identifiable risk factor for endogenous endophthalmitis.
LESSONS: Urinary tract infection is an independent risk factor for endogenous endophthalmitis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:102 |
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| Enthalten in: |
Medicine - 102(2023), 46 vom: 17. Nov., Seite e36139 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ren, Cong [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 29.11.2023 Date Revised 29.11.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/MD.0000000000036139 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. | ||
| 520 | |a RATIONALE: Endogenous endophthalmitis is a vision-threatening intraocular infection caused by hematogenous spread of infectious organisms from distant sites | ||
| 520 | |a PATIENT CONCERNS: A 71-year-old man with a history of fever and dysuria 5 days prior to presentation presented with sudden loss of vision in his left eye. The patient had no history of ocular surgery or trauma, and ocular examination revealed a large amount of exudative plaque covering the pupil. Therefore, fundus examination was not feasible. B-scan ultrasonography revealed a dome-shaped subretinal mass with an exudative retinal detachment | ||
| 520 | |a DIAGNOSIS: Endogenous endophthalmitis was diagnosed on the basis of these findings | ||
| 520 | |a INTERVENTIONS: The patient underwent pars plana vitrectomy and the early postoperative course was favorable | ||
| 520 | |a OUTCOMES: Vitreous cultures grew gram-negative bacilli, identified as Klebsiella pneumonia. Urinalysis revealed white blood cells (++) and urinary tract infection was the only identifiable risk factor for endogenous endophthalmitis | ||
| 520 | |a LESSONS: Urinary tract infection is an independent risk factor for endogenous endophthalmitis | ||
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